Registration - eLogger

Company (include specific location)(Required)

Email(Required)

Title/Position(Required)

Phone(Required)

Conference Registration

I am registering for the conference

Registration

Price:

Attending Welcome Reception Monday night (no additional cost)(Required)

Attending Group Outing Tuesday night (no additional cost for Attendee)(Required)

Playing Golf Sunday, February 12th (no additional cost for Attendee)(Required)

Select Jacket Size (men's size) (For Attendee)(Required)

Bringing a Guest to Welcome Reception (limit of 1 guest at no cost)(Required)

Include Guest Name below

Guest Name (please provide for Name Tag purpose)

Additional Items for Guest

Additional items can be purchased separately from the conference registration or in conjunction with the registration. If you are bringing a guest and would like to purchase additional items for them on a separate credit card, two transactions will be required. Contact Tracy Majerle for assistance (tmajerle@elogger.com or 218.878.2015).

Guest Name

First Last

Food Package (Guest) (2 breakfasts/2 lunches )

Price: $150.00

Group Outing Tuesday night (Guest)

Price: $75.00

Must be 18 years or older to participate

Golf Outing (Guest)

Price: $75.00

Additional Apparel

Small Adult Size

Price: $80.00

Medium Adult Size

Price: $80.00

Large Adult Size

Price: $80.00

X-Large Adult Size

Price: $80.00

XX-Large Adult Size

Price: $80.00

XXX-Large Adult Size

Price: $80.00

Comments (include any special dietary needs)

Payment

Select Payment Option(Required)

Pay by Credit Card

Invoice My Company

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Total

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